Provider Demographics
NPI:1427874833
Name:PERELSHTEIN, MARLAINA ARIEL (MT-BC, WMTR)
Entity type:Individual
Prefix:
First Name:MARLAINA
Middle Name:ARIEL
Last Name:PERELSHTEIN
Suffix:
Gender:F
Credentials:MT-BC, WMTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:456 CEDAR CT
Mailing Address - Street 2:
Mailing Address - City:SLINGER
Mailing Address - State:WI
Mailing Address - Zip Code:53086-9061
Mailing Address - Country:US
Mailing Address - Phone:414-639-9431
Mailing Address - Fax:
Practice Address - Street 1:456 CEDAR CT
Practice Address - Street 2:
Practice Address - City:SLINGER
Practice Address - State:WI
Practice Address - Zip Code:53086-9061
Practice Address - Country:US
Practice Address - Phone:414-639-9431
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-02
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI335-38225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist